Form ID

Publication date

Location of premises

Certificate

Regional Municipality of Waterloo Contract No. 2004-025 Repairs to the bridge deck, Replacement of the approach slabs, curbs and parapet walls, Placement of rock protection in front of abutments

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Regional Municipality of Waterloo
Address of Owner
Transportation and Environmental Services Dept., Design and
Name of Contractor
Engineered Concrete Limited
Address of Contractor
130 Shoemaker Street, Unit 2, Kichener, ON N2E 3G4
Name of Certifier
Giffels Associates Limitied
Address of Certifier
30 International Blvd., Toronto, ON M9W 5P3

Office to which claim for lien must be given to preserve lien

As Above